Provider Demographics
NPI:1427774868
Name:WOUNDOSTOMY AND IV NURSING SERVICES INC
Entity type:Organization
Organization Name:WOUNDOSTOMY AND IV NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EKINADOESE
Authorized Official - Middle Name:MEDINA
Authorized Official - Last Name:SALAMI
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:310-906-8906
Mailing Address - Street 1:9242 SONGFEST DR
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90240-2543
Mailing Address - Country:US
Mailing Address - Phone:310-906-8906
Mailing Address - Fax:
Practice Address - Street 1:9242 SONGFEST DR
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90240-2543
Practice Address - Country:US
Practice Address - Phone:310-906-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOUNDOSTOMY AND IV NURSING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-10-18
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care